Mario V. Capanzana, Ph.D. Director 2018 IIRR CONFERENCE Silang Cavite
Department of Science and Technology Food and Nutrition Research Institute DOST Compound, Gen. Santos Ave., Bicutan, Taguig City, Metro Manila, Philippines Tel nos.: (632) 8372071 81 loc. 2296; 8391843; 8391846 Telefax No.: (632) 8372934 E mail: mvc@fnri.dost.gov.ph Website: http://www.fnri.dost.gov.ph E nutrition: http://enutrition.fnri.dost.gov.ph
FNRI MANDATE FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Undertake researches that define the citizenry s nutritional status, with reference particularly to the malnutrition problem, its causes and effects and identify alternative solutions to them; Develop and recommend policy options, strategies, programs and projects which address the malnutrition problem for implementation by appropriate agencies; and Disseminate research findings and recommendations to relevant end-users
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Tinimbang ka nguni t KULANG Children 0-5 years old: 21% underweight 33% underheight or stunted 7% wasted SOBRA Adults 20 + years: 31% overweight or obese 19% females have high waist circumference 58% females have high waist : hip ratio Source: 2015 Updating Survey, DOST-FNRI
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Stunting is a largely irreversible outcome of inadequate nutrition, bouts of infection during the FIRST 1,000 DAYS of a child s life. Source: WHO, Nutrition Global Targets
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Stunting or other measures of lost growth potential is associated with reduced grade attainment. Source: WHO, Nutrition Global Targets
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY including: DIMINISHED COGNITIVE & PHYSICAL DEVELOPMENT, REDUCED PRODUCTIVE CAPACITY and POOR HEALTH Source: WHO, Nutrition Global Targets
Stunted children have an increased risk of becoming OVERWEIGHT or OBESE later in life. FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Lower birthweight and greater undernutrition in childhood were risk factors for high glucose concentrations, blood pressure and harmful lipid profiles in adulthood. Source: WHO, Nutrition Global Targets
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Persistence of Undernutrition in Filipino children < 5 years old Source: National Nutrition Surveys, DOST FNRI
Nutritional Status among children < 5 years old (0 59 months): Philippines, 2015 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Source: DOST FNRI: 2015 National Nutrition Survey
Pregnancy 270 days Year 1 Year 2 365 days 365 + + = days First 1000 days A PERIOD OF OPPORTUNITY TO IMPROVE CHILD NUTRITION AND HEALTH
Nutritional Status of School-aged Children
Trends in the prevalence of malnutrition among children, 5.08 to 10.0 years old (61 to 120 months): Philippines, 2003-2015
Prevalence of underweight among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence
Prevalence of stunting among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence
Prevalence of wasting among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence
% Prevalence Prevalence of overweight/obesity among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015
Trends in the overall prevalence of anemia, Philippines: 1993, 1998, 2003, 2008 and 2013
Prevalence of anemia among children by wealth quintile, Philippines: 2013
Median UIE and percent UIE values <50µg/L by age and physiologic groups: Philippines Age, y/ Physiologic Group n Median UIE, µg/l* UIE <50 µg/l, % Children, 6-12 Adolescents, 13-19 Adults, 20 59 Elderly, 60 Lactating Pregnant 22,588 5,514 14,820 3,676 1,460 1,095 168 134 116 80 77 105 Adequate UIE: median = 100 199 ug/l for all groups, except pregnant 150 249 ug/l
Frequency distribution of UIE values among 6 12 y old children, NNS 1998, 2003, 2008 & 2013: PHILIPPINES 1998 Median = 71 µg/l Prev < 50 µg/l = 35.8 % 2008 Median = 132 µg/l Prev < 50 µg/l = 19.7 % 23.5 12.3 12.0 7.7 7.7 8.7 7.4 4.0 2013 Median = 168 µg/l Prev < 50 µg/l = 16.4 % 14.9 20.0 12.4 2003 Median = 201 µg/l Prev < 50 µg/l = 11.4 % 29.6 26.2 29.2 26.6 25.9 37.0 18.9 16.5 17.5 5.4 23.2 13.3 0.1
Progress in the Philippines towards the elimination of IDD, 1998-2013 Indicator Goal * Proportion of households using adequately iodized salt > 90 Median urinary iodine, µg/l Children, 6 12 yrs 13-19 yrs Adults, 20-59 yrs 100-199 Elderly, 60 yrs Lactating women Pregnant women 150-249 Proportion < 50µg/L, % < 20 Children, 6 12 yrs 13-19 yrs Adults, 20-59 yrs Elderly, 60 yrs Lactating women Pregnant women Achievements 1998 2003 2008 25.2 2013 25.7 71 201 132 168 - - 154 134 - - 137 116 - - 107 80-111 81 77-142 105 105 35.8 11.4 19.7 16.4 - - 14.7 20.0 - - 17.5 22.4 - - 22.3 33.6-23.7 34.0 34.3-18.0 25.7 27.0
Prevalence of VAD by age and physiologic state, 2008 Age/Sex/ Physiologic State No. of Participants (n) Prevalence (%) Philippines 6 mos 5 yrs 6 12 y 13 19 y 20 59 y 60 y Pregnant 16917 2408 3802 2244 5894 1226 483 5.9 15.2 11.1 4.6 3.4 3.6 9.5 Lactating 860 6.4 0 10 20 30 40
Serum retinol level and percent distribution by age and physiologic state: Philippines, 2008 Age/ Physiologic State n Serum retinol level (µg/dl) x ± SD % Distribution Def & low Acceptable High Philippines 16917 41.1 ± 17.4 5.9 60.0 34.1 6 mos 5 yrs 2408 31.1 ± 12.0 15.2 77.0 7.9 6 12 y 3802 32.1 ± 11.6 11.1 81.1 7.8 13 19 y 2244 40.4 ± 14.2 4.6 70.8 24.6 20 59 y 5894 50.0 ± 18.3 3.4 47.7 48.9 60 yr 1226 49.0 ± 18.3 3.6 48.5 47.9 Pregnant women 483 37.33 ± 14.2 9.5 72.5 18.0 Lactating women 860 41.53 ± 15.4 6.4 65.8 27.8
Mean serum zinc levels (± SE) and prevalence of zinc deficiency among Filipino children by age group by sex: Philippines, 2008 Population group/ sex n Zn, g/dl Mean ± SE % Prevalence Preschool children,6mo 5y 2370 94.5 ± 0.9 Male 1265 95.1 ± 1.3 Female 1105 93.9 ± 1.3 School-aged children,6-12y 3789 79.9 ± 0.8 Male 1996 79.3 ± 0.9 Female 1793 80.6 ± 1.0 Adolescents, 13 19 y 2194 85.2 ± 0.9 Male 1208 82.9 ± 1.1 Female 986 90.9 ± 1.2
Food Intake
Mean one day total food intake by population group 788 Grams 544 Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12 y
Mean one day total food intake by population group: 2008 and 2013 LEGEND 2008 2013 Grams 544 * 583 724 * 783 * 656 767 688 * Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12 y *Significant increase *Significant decrease
Cereals and Cereal Products, 250.8g (43.0%) Starchy roots & tubers, 7.8g(1.3%) Sugars, 12.4g(2.1%) Dried beans, nuts & seeds, 4.9g(0.8%) Misc., 40.7g(7.0%) Milk & Milk Products, 44.3g (7.6%) Vegetables, 35.9g (6.2%) Fruits, 28.5g(4.9%) Fats & oils, 6.4g(1.1%) Eggs, 13.2g(2.3%) Meat, Poultry 72.9g (12.5%) Fish, 64.9,g(11.1%)
Proportion of the population meeting adequate FLUID intake by age/physiologic group: Philippines, 2013 Fluid intake adequacy was generally LOW across Filipino population groups. Population Group Pre-school Children Recommended Intake Intake (ml/day) 890-1350 1138 Schoolchildren 1470-3010 1308 Adolescents 2170-3010 1619 Adults 1930-2420 1976 Elderly 1540-2140 1874 Pregnant Women +300 1934 Lactating Mothers +700 1823 Meeting Recommended Water Intake (PDRI 2015) Source: DS Concepcion, eta l. 2016. 8 th (2013) National Nutrition Survey: Fluid Intake of Filipinos, DOST-FNRI.
Nutrient sources of energy intake by population group: Philippines, 2013 Energy intake (kilocalories) 868 1338 1719 1756 1361 1623 1631 843 1392 1878 1915 1436 1733 1820 Percent Contribution 12.7 12.3 12.3 13.1 13.4 12.9 12.4 24.8 18.9 17.7 16.4 14.4 17.2 15.2 62.5 68.9 69.9 70.4 72.2 69.9 72.4 LEGEND Carbohydrates Fats Protein Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y
Contribution of food groups to energy intake by population groups and percent meeting RENI POPULATION GROUP INTAKE (kcal) PERCENT CONTRIBUTION % Meeting RENI Children, 6m to5y 868 57.0 10.3 18.1 23.2 Children, 6 to12y 1338 70.8 13.2 20.5 Adolescents 1719 72.3 14.1 10.6 Adults 1756 69.9 14.8 21.6 Elderly 1361 70.6 12.3 17.4 Pregnant women 1623 70.9 13.4 16.1 Lactating mothers RENI Recommended Energy and Nutrient Intake 1631 73.8 12.2 0% 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products Fats and Oils Sugars & Syrups Others 9.8
Mean one-day iron intake by population group: Philippines, 2013 8.9 Milligrams 5.7 Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y
Proportion of population groups meeting the estimated average requirement for iron: Philippines, 2008 and 2013 LEGEND 2008 2013 Percent Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y
Contribution of food groups to iron intake by population groups and percent meeting EAR POPULATION GROUP Children, 6m to5y Children, 6 to12y INTAKE (mg) 5.7 7.1 PERCENT CONTRIBUTION 39.0 10.2 23.8 14.7 52.4 17.8 6.1 9.8 5.5 8.7 % Meeting ear 24.4 20.3 Adolescents 8.5 55.8 20.4 7.7 4.7 7.3 7.5 Adults 8.9 51.5 23.5 10.2 3.2 8.1 18.1 Elderly 7.1 51.8 19.2 13.5 3.1 8.5 8.9 Pregnant women 8.9 53.1 17.0 4.6 8.0 4.9 9.1 0.8 Lactating mothers 8.3 54.6 18.3 11.2 5.9 6.4 0.6 *Estimated Average Requirement 0% 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products Eggs Vegetables Beverages Others
Mean one-day vitamin A intake by population group: Philippines, 2013 522.2 Microgram RE 305.4 Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y
Proportion of population groups meeting the estimated average requirement for vitamin A: Philippines, 2008 and 2013 LEGEND 2008 2013 Percent Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y
Contribution of food groups to vitamin A intake by population groups and percent meeting EAR: Philippines, 2013 POPULATION GROUP Children, 6m to5y INTAKE (mcg RE) 417.2 PERCENT CONTRIBUTION 9.7 20.6 43.8 5.83.3 15.1 % Meeting RENI 57.4 Children, 6 to12y 349.7 14.2 43.0 6.7 9.8 9.3 14.4 33.6 Adolescents 436.5 12.9 56.4 8.0 10.8 6.8 18.7 Adults 522.2 6.6 68.8 6.1 12.0 2.8 18.0 Elderly 305.4 7.7 49.4 9.1 7.0 20.3 3.6 14.1 Pregnant women Lactating mothers *Estimated Average Requirement 424.1 420.8 11.8 47.1 10.5 7.4 11.7 9.5 7.8 54.9 5.4 7.3 15.5 0% 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products 7.5 Eggs Vegetables Beverages Others 17.5 9.3
Percentage contribution of food groups to PROTEIN intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (gram) PERCENTAGE CONTRIBUTION (%) Preschool Children 27.6 Children 41.1 Adolescents 53.0 Adults 57.2 Elderly 45.4 Pregnant Women 52.5 Lactating Women 50.7 *All Source: 2013 National Nutrition Survey, DOST FNRI
Percentage contribution of food groups to CARBOHYDRATE intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (GRAM) PERCENTAGE CONTRIBUTION (%) Preschool Children 136 Children 230 Adolescents 300 Adults 307 Elderly 244 Pregnant Women 284 Lactating Women 295 *All Source: 2013 National Nutrition Survey, DOST FNRI
Percentage contribution of food groups to FAT intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (gram) PERCENTAGE CONTRIBUTION (%) Preschool Children 24 Children 28 Adolescents 34 Adults 32 Elderly 22 Pregnant Women 31 Lactating Women 28 *All Source: 2013 National Nutrition Survey, DOST FNRI
Parameters AGE GROUP FNRI-DOST Underweight FOOD AND NUTRITION RESEARCH INSTITUTE Underheight Wasting DEPARTMENT OF SCIENCE AND TECHNOLOGY Overweight CED 0-60 mos. 61-120 mos. 121-228 mos >20 years Pregnant Lactating Waist Circumference M/F Waist-Hip Ratio M/F
What S&T solution can we offer... FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY FNRI initiatives to address malnutrition in the Philippines
Malnutrition Reduction Program S & T INTERVENTION DOST PINOY (Package for the Improvement of Nutrition Of Young Children) Technology Transfer OUTCOMES Reduced underweight and stunting prevalence among 6-35 months old children was met in 4/25 provinces: - - - - Basey, Samar Pulilan and Plaridel, Bulacan Bagulin, Pangasinan Tobias Fornier, Antique 2 points increased in the mean scores on nutrition knowledge of mothers after the education intervention Continuously benefitting children and their mothers/ caregivers LGU policy resolutions approved and passed for the adoption of DOST PINOY Considered by NEDA as a national priority project (NPP) of the government Used in time of manmade (Marawi) and natural disaster (Yolanda etc)
Malnutrition Reduction Program FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
Supply Strategy Thru: FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Establishment of Complementary Food Processing Facility all over the Region. 38 CFPF
Demand Strategy Thru: Implementation of FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY A Nutrition Intervention Strategy (Package for the Improvement of Nutrition Of Young Children)
Nutrition intervention strategy MRP 120 feeding days of complementary foods among 6-35 months old children nutrition education for the mothers/ caregivers using developed modules
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
Region # CFPF NCR 2 CAR 1 I 1 II 2 III 1 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY IV-A 5 IV-B 5 V 4 VI 4 VII 1 VIII 3 IX 1 X 3 XI 1 XII 2 XIII 1 ARMM 1 Total 38
FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY DOST PINOY IMPLEMENTATION IN THE COUNTRY
COMPLEMENTARY FOOD MINGO MEALS IN MARAWI FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
COMPLEMENTARY FOOD MINGO MEALS IN SARI-SARI STORES FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY
2017 YEAR OF PINGGANG PINOY
ov I Icons for Specific " Population,.. Groups Development of Pinggang Pinoy for specific population groups was spearheaded by FN RI in 2015 and was launched at the 61st NDAP Convention in 2016
Department of Science and Technology Food and Nutrition Research Institute DOST Compound, Gen. Santos Ave., Bicutan, Taguig City, Metro Manila, Philippines Tel nos.: (632) 8372071 81 loc. 2296; 8391843; 8391846 Telefax No.: (632) 8372934 E mail: mvc@fnri.dost.gov.ph Website: http://www.fnri.dost.gov.ph E nutrition: http://enutrition.fnri.dost.gov.ph